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Vittorio Chiesa, 2003
Bioscienze ed economia
Vittorio Chiesa
Università degli studi di Milano-Bicocca
FAST
Milano, 14 marzo 2003
Convegno Science Generation
Vittorio Chiesa, 2003
Index
The healthcare context
The role of biotech
A worldwide overview on biotech industry
The Italian situation
Vittorio Chiesa, 2003
Index
The healthcare context
The role of biotech
A worldwide overview on biotech industry
The Italian situation
Vittorio Chiesa, 2003
The healthcare context
• Increasing level of competition
• Patent expiration
• Industry performance indicators decline
Vittorio Chiesa, 2003
Inderall®1965
Tagamet®1977
Capoten® 1980
Seldane ®1985
AZT® 1987
Mevacor® 1987
Prozac® 1988
Dillucan® 1990
Recombinate® 1992
Invirase® 1995
Celebrex® 1999
Lopresor® 1975
Zantac®1983
Vasotec® 1985
Hismanial®1989
Videx® 1991
Pravachol® 1991
Zoloft® 1992
Sporanox® 1992
Kogenale® 1993
Norvi® 1996
Vioxx® 1999
Increasing level of competition
Vittorio Chiesa, 2003
Patent expiration
Number of expiring patents 2001 53 2002 41 2003 58 2004 46
Generic products strongly penetrate
(50% of prescription drugs in US)
Revenues decrease by 75% in three months since
outpatenting
40 bln $ of revenues will disappear in the next 5 years
Vittorio Chiesa, 2003
Performance indicators decline
Although R&D expenses grow continuously
1992 1997 2001
11 bln$ 18 bln$ 35 bln$
• New drug approval decreases
• Post-marketing product withdrawals grow
• Sales growth declines
(9% in the ‘90ies vs. 5.3% foreseen in the first decade of the 2000)
Vittorio Chiesa, 2003
The traditional paradigm is over
• Development of blockbusters (at least 1bln$ of revenues)
• General-purpose products
• Aggressive marketing
Vittorio Chiesa, 2003
A new paradigm is required:targeted treatments
• Disease-centric approach to drug discovery
• Cover of secondary care
• Combination of products and services (self-diagnosis, patient training and education, disease management)
• Targeted marketing
Vittorio Chiesa, 2003
The new paradigm means stronger market pressure
• Earlier contacts with regulatory authorities
• Continuous evaluation and stringent reviews
• Shifting balance of power (to MCO)
• Pricing fixed on the basis of medical results
Vittorio Chiesa, 2003
The new paradigm is challenging
• Higher costs of development (clinical trials)
• Lower selling volumes per drug
• Lower price
but
• Higher number of new and more effective drugs
Vittorio Chiesa, 2003
Index
The healthcare context
The role of biotech
A worldwide overview on biotech industry
The Italian situation
Vittorio Chiesa, 2003
The new paradigm meansa new approach to R&D
Drug
Discovery
Drug
Development
Production&
Commercialization
Approval
Understanding the disease at molecular
level in drug discovery
Modeling and simulation in drug
development
R&D
Vittorio Chiesa, 2003
The new paradigm means a great opportunity for biotech companies
Drug
Discovery
Drug
Development
Production&
Commercialization
Approval
Enabling technology providers
Big Pharma Midsize Pharma
Big Biotech
Small Biotech
Vittorio Chiesa, 2003
Index
The healthcare context
The role of biotech
A worldwide overview on biotech industry
The Italian situation
Vittorio Chiesa, 2003
The biotech industry in US and EU
USA EuropeRevenues 28.500 13.730 Sales 20.700 n.aR&D expenses 15.700 7.480 Profits (Losses) (6.900) (1.520) Number of companies 1.457 1.879 Number of public companies 342 104 Number of employees 191.000 87.182
Data 2001 in millions $
Vittorio Chiesa, 2003
Biotech in Europe
0 50 100 150 200 250 300 350 400
Altri Paesi
Norvegia
Irlanda
Italia
Danimarca
Belgio
Paesi Bassi
Svizzera
Finlandia
Israele
Svezia
Francia
Uk
Germania
Private Companies Public Companies
Number of Companies
Vittorio Chiesa, 2003
Biotech clusters in Europe
Vittorio Chiesa, 2003
What is a cluster
• A cluster is “a geographical concentration of actors in vertical and horizontal relationships, showing a clear tendency of co-operating and of sharing their competences, all involved in a localized infrastructure of support”
• In a cluster co-exist small biotech firms, R&D labs of large firms, universities and research centres, financial institutions, service companies, public support structures
Vittorio Chiesa, 2003
Advantages from clustering
• Sharing of knowledge, competencies and practices
• Availability of skills
• Collaboration
• Support infrastructure
Vittorio Chiesa, 2003
Growth mechanisms of a cluster
Excellent Scientific Base
Generation of Start-ups and
Spin-offs
Establishment of large firm
sites
Reinforcement of relations
between Industry and
Science
Growth of the scientific base
The trigger is facilitating the generation of new science-based companies
Vittorio Chiesa, 2003
How clusters were born
• In US and UK, there were the conditions for the growth of a cluster:– excellent scientific base
– strong enterpreneurial culture
– propensity of finance to risky investments
• In other countries (Germany, France, Scandinavian area) the public support helped create the conditions for the growth of a cluster
Vittorio Chiesa, 2003
Index
The healthcare context
The role of biotech
A worldwide overview on biotech industry
The Italian situation
Vittorio Chiesa, 2003
Biotech industry in Italy and Lombardy
LOMBARDY ITALY
Number of biotechfirms(no academicspin-offs)
14 (48,3%) 29
Number ofemployees
532 (71.8%) 735
Average number ofemployees
38 25
Number of publiccompanies
3 3
Number of pharmacompanies(source: Farmindustria)
36 (41.3%) 87
Number of biotechresearchers
614 -
Vittorio Chiesa, 2003
What is missing for a biotech cluster in Lombardy
BiodevelopmentCompanies
Scientific Base
Generation of Start-ups and
Spin-offs
Mission of a Biodevelopment Company
• supporting researchers willing to found a new company• supporting the management of the project• attracting funds• hosting the companies in their embryonic phase
International cases• BiomAG in Munich• Genopole in Evry (France)• Scientific and Technology Park in Heidelberg• Innovation Agencies and University Liaison Offices in Scandinavian countries
Vittorio Chiesa, 2003
What we are doing
• A EU funded project (Cleverbio) to study growth mechanisms and practices of biotech clusters and make a feasibility study for a biodevelopment company
• A project funded by Fondazione Cariplo to build a network of bioincubators (University of Milano-Bicocca, Parco Tecnologico Padano, European Institute for Oncology - IFOM)